Older adults (age ≥65 years) are at risk for high rates of delirium and poor outcomes; however, how to improve outcomes is still being explored.To assess whether implementation a geriatric trauma clinical pathway was associated with reduced in older traumatic injury.A retrospective case-control study electronic health records patients aged 65 years or injury from 2018 2020 conducted single level I center. Eligible were age admitted the service who did not undergo an operation.The based on...

The specialization of contemporary academia necessitates the adoption a multidisciplinary approach to study topics that cross multiple disciplines, including area medical ethics. However, nature research is limited in some regards, further requiring researchers use interdisciplinary and transdisciplinary approaches. authors present as case project bioethics began an which, through process, moved being health They outline not only this transformation but also strengths difficulties

BACKGROUND Establishing proficiency in specific trauma procedures during surgical residency has been limited to annual courses with data on its effect the delivery of health care and patient outcomes. There is a wide variety training content complexity recent studies looking at time imaging or secondary survey. In this study, we implement monthly case-based simulation after initial bedside procedures. The overall goal evaluate interventions. METHODS This prospective, observational study...

ABSTRACT The CONSORT 2010 statement is a guideline that provides an evidence‐based checklist of minimum reporting standards for randomized trials. With the rapid growth Artificial Intelligence (AI) based interventions in past 10 years, CONSORT‐AI extension was created 2020 to provide guidelines AI‐based controlled trials (RCT). Clin‐STAR “Around EQUATOR” series features existing reported while also highlighting inherent complexities research involving older participants. In this work, we...

Trauma pneumonectomy has been historically associated with an exceedingly high morbidity and mortality. The recent advent of standardized reporting data-collecting measures facilitated large volume data analysis on predictors outcomes trauma pneumonectomy. purpose this study is to describe patient characteristics the patients who underwent in modern era identify clinical factors postoperative mortality.Data between 2007 2014 from National Data Bank were used for analysis, which included both...

Recent studies show that early operative intervention in patients who fail nonoperative management of adhesive small bowel obstruction (ASBO) is associated with improved outcomes. The purpose this study was to determine the trend practice pattern and outcomes ASBO United States.Data from National Inpatient Sample data (2003-2013) were extracted for analysis included (age ≥18 years) discharged primary diagnosis codes consistent ASBO. We analyzed examine changes mortality hospital length stay...

Study Design: Retrospective database study. Objectives: Analysis of economic and demographic data concerning lumbar disc arthroplasty (LDA) throughout the United States to improve value-based care health utilization. Methods: The National Inpatient Sample was queried for patients who underwent primary or revision LDA between 2005 2013. Demographic included total surgeries, costs, length stay, frequency routine discharge. represents a 20% sample discharges from US hospitals weighted provide...

Introduction: Limited options exist for cardiovascular support of the trauma patient in extremis. This population offers challenges that are often considered insurmountable. article identifies a heterogeneous group patients extremis who may benefit from extracorporeal membrane oxygenation. Methods: Data were sourced medical records all placed on oxygenation following at Level I Trauma Center between 1 December 2016 and 2017. Results: All male (N = 7), mostly with blunt injuries (n 5), an...

Abstract Background Neurofibromatosis type 1 (NF1) is a common monogenic tumor-predisposition disorder that arises secondary to mutations in the tumor suppressor gene NF1 . Haploinsufficiency of fosters permissive tumorigenic environment through changes signalling between cells, however intracellular mechanisms for this tumor-promoting effect are less clear. Most primary human +/- cells challenge obtain, lymphoblastoid cell lines (LCLs) have been collected from large kindreds. We...

BACKGROUND Portable chest x-ray (CXR) and extended focused assessment with sonography for trauma (EFAST) screen patients thoracic injury in the bay. It is unclear if one test alone sufficient, both are required, or two investigations complementary. Study objectives were to define combined diagnostic yield of EFAST CXR among stable blunt determine a normal might obviate need computed tomography (CT) scan chest. METHODS All 15 years older presenting LAC+USC Medical Center 2016 screened. Only...

Accurate radiographic interpretation is essential for properly diagnosing the etiology of pre-arthritic hip pain such as femoroacetabular impingement (FAI) and acetabular dysplasia (AD); however, can be significantly influenced by observer's experience level. This study assesses accuracy inter- intraobserver reliability in evaluation FAI AD based on Fifty-five patients diagnosed with FAI, or normal morphology were identified from principal investigator's institutional database. Four...

Background Though artificial intelligence (“AI”) has been increasingly applied to patient care, many of these predictive models are retrospective and not readily available for real-time decision-making. This survey-based study aims evaluate implementation a new, validated mortality risk calculator (Parkland Trauma Index Mortality, “PTIM”) embedded in our electronic healthrecord (“EHR”) that calculates hourly predictions with high sensitivity specificity. Methods is prospective, performed at...

Vital signs and laboratory values are used to guide decisions use damage control techniques in lieu of early definitive fracture fixation. Previous models attempted predict mortality risk but have limited utility. There is a need for dynamic model that captures evolving physiologic changes during trauma patient's hospital course.The Parkland Trauma Index Mortality (PTIM) machine learning algorithm uses electronic medical record data within 48 hours the first 3 days hospitalization. It...

The extent and timing of surgery in severely injured patients remains an unsolved problem orthopaedic trauma. Different laboratory values or scores have been used to try predict mortality estimate physiological reserve. Parkland Trauma Index Mortality (PTIM) has validated as electronic medical record-integrated algorithm help with operative trauma patients. aim this study was report our initial experience PTIM how it relates other scores.A retrospective chart review level 1 2 admitted...

BACKGROUND: Training for trauma procedures has been limited to infrequent courses with little data on longitudinal performance, and few address procedural leadership skills granular assessment. We implemented a novel training program that emphasized an assessment of resuscitation skills. OBJECTIVE: This study aimed determine whether this could demonstrate improvement in both skill sets surgical trainees over time. METHODS: was prospective, observational at Level I center between November...